徒手按摩治疗乳腺癌术后并发腋网综合征的疗效观察
摘要
目的观察徒手按摩治疗乳腺癌术后并发腋网综合征(AWS)的疗效,为AWS的治疗提供理论依据。方法选取2016年5月-2018年9月温州市中心医院收治的乳腺癌术后并发AWS的患者80例为研究对象,随机分为对照组和干预组,每组各40例。对照组采用常规的健康宣教及以患者为主导的循序渐进的患肢功能锻炼,干预组在对照组基础上给予徒手按摩。比较两组患者干预后1 d、7 d、15 d、30 d患肢外展角度,条索结构和紧绷感消失时间,干预前及干预后生活质量评分的差异,并探讨徒手按摩治疗AWS的疗效。结果随着干预时间延长,干预组患者患肢外展角度显著高于对照组,NRS评分显著低于对照组,差异均有统计学意义(均P<0. 05);干预组患者条索结构及紧绷感消失时间均显著短于对照组,差异均有统计学意义(均P<0. 05)。干预前,两组患者生活质量评分比较,差异无统计学意义(P>0. 05),干预后,干预组患者生活质量评分低于对照组,差异有统计学意义(P<0. 05)。结论徒手按摩能在较短的时间内缓解AWS患者患肢疼痛及条索状的症状,增加患肢活动度,减轻患者痛苦,提高患者生活质量。
引文
[1]杨志,李宁,廖光星,等.乳腺癌原发灶弥散加权成像在预测腋窝淋巴结转移中的应用价值[J].郑州大学学报(医学版),2017,52(4):448-451.
[2]Koehler LA,Hunter DW,Blaes AH,et al.Function,shoulder motion,pain,and lymphedema in breast cancer with and without axillary web syndrome:an 18-month follow-up[J].Phys Ther,2018,98(6):518-527.
[3]Harris SR.Axillary web syndrome in breast cancer:a prevalent but under-recognized postoperative complication[J].Breast care(Basel),2018,13(2):132-135.
[4]曾敏华,柴洁.徒手淋巴引流对乳腺癌术后淋巴水肿的治疗效果分析[J].中华卫生应急电子杂志,2017,3(2):125-128.
[5]Moskovitz AH,Anderson BO,Yeung RS,et al.Axillary web syndrome after axillary dissection[J].Am J Surg,2001,181(5):434-439.
[6]Swierzewski SJ,Denil J,Ohl DA.The management of penile mondor's phlebitis:superficial dorsal penile vein thrombosis[J].J Urol,1993,150(1):77-78.
[7]Nazir SS,Khan M.Thrombosis of the dorsal vein of the penis(Mondor's Disease):a case report and review of the literature[J].Indian J Urol,2010,26(3):431-433.
[8]魏盘妹,苏逢锡.腋网综合征研究进展[J].中华乳腺病杂志(电子版),2012,6(6):36-38.
[9]Koehler LA,Hunter DW,Haddad TC,et al.Characterizing axillary web syndrome:ultrasonographic efficacy[J].Lymphology,2014,47(4):156-163.
[10]Welsh P,Gryfe D.Atypical presentation of axillary web syndrome(AWS)in a male squash player:a case report[J].J Can Chiropr Assoc,2016,60(4):294-298.
[11]Bergmann A,Mendes W,de Almeida Dias R,et al.Incidence and risk factors for axillary web syndrome after breast cancer surgery[J].Breast Cancer Res Treat,2012,131(3):987-992.
[12]Fourie WJ,Robb KA.Physiotherapy management of axillary web syndrome following breast cancer treatment:discussing the use of soft tissue techniques[J].Physiotherapy,2009,95(4):314-320.
[13]Baggi F,Nevola Teixeira LF,Gandini S,et al.Axillary web syndrome assessment using a self-assessment questionnaire:a prospective cohort study[J].Support Care Cancer,2018,26(8):2801-2807.
[14]童璐,张思义,曹战江.腋窝手术后腋网综合征的治疗及心理干预[J].湖北理工学院学报,2014,30(3):57-59.
[15]李晓瑾,李文姬,周春兰,等.徒手淋巴引流法联合功能锻炼对乳腺癌术后患者生活质量的影响[J].广东医学,2018,39(2):316-319.
[2]Koehler LA,Hunter DW,Blaes AH,et al.Function,shoulder motion,pain,and lymphedema in breast cancer with and without axillary web syndrome:an 18-month follow-up[J].Phys Ther,2018,98(6):518-527.
[3]Harris SR.Axillary web syndrome in breast cancer:a prevalent but under-recognized postoperative complication[J].Breast care(Basel),2018,13(2):132-135.
[4]曾敏华,柴洁.徒手淋巴引流对乳腺癌术后淋巴水肿的治疗效果分析[J].中华卫生应急电子杂志,2017,3(2):125-128.
[5]Moskovitz AH,Anderson BO,Yeung RS,et al.Axillary web syndrome after axillary dissection[J].Am J Surg,2001,181(5):434-439.
[6]Swierzewski SJ,Denil J,Ohl DA.The management of penile mondor's phlebitis:superficial dorsal penile vein thrombosis[J].J Urol,1993,150(1):77-78.
[7]Nazir SS,Khan M.Thrombosis of the dorsal vein of the penis(Mondor's Disease):a case report and review of the literature[J].Indian J Urol,2010,26(3):431-433.
[8]魏盘妹,苏逢锡.腋网综合征研究进展[J].中华乳腺病杂志(电子版),2012,6(6):36-38.
[9]Koehler LA,Hunter DW,Haddad TC,et al.Characterizing axillary web syndrome:ultrasonographic efficacy[J].Lymphology,2014,47(4):156-163.
[10]Welsh P,Gryfe D.Atypical presentation of axillary web syndrome(AWS)in a male squash player:a case report[J].J Can Chiropr Assoc,2016,60(4):294-298.
[11]Bergmann A,Mendes W,de Almeida Dias R,et al.Incidence and risk factors for axillary web syndrome after breast cancer surgery[J].Breast Cancer Res Treat,2012,131(3):987-992.
[12]Fourie WJ,Robb KA.Physiotherapy management of axillary web syndrome following breast cancer treatment:discussing the use of soft tissue techniques[J].Physiotherapy,2009,95(4):314-320.
[13]Baggi F,Nevola Teixeira LF,Gandini S,et al.Axillary web syndrome assessment using a self-assessment questionnaire:a prospective cohort study[J].Support Care Cancer,2018,26(8):2801-2807.
[14]童璐,张思义,曹战江.腋窝手术后腋网综合征的治疗及心理干预[J].湖北理工学院学报,2014,30(3):57-59.
[15]李晓瑾,李文姬,周春兰,等.徒手淋巴引流法联合功能锻炼对乳腺癌术后患者生活质量的影响[J].广东医学,2018,39(2):316-319.